4th iphc2016 empty registration form
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Transcript of 4th iphc2016 empty registration form
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TEAM REGISTRATION FORMI, ………………………………………………………, Team Captain of ……………………………………………..hereby register my TEAM to participate in the 4th Indoor Pond Hockey Classic at ijsbaan Ruggeveld in Antwerp (Deurne). I pledge we will play in the true IPHC Fair-Play Spirit!
TEAM NAMEADDRESSCITYCOUNTRYe-mailWebsiteSocial Media
The following players will participate and I declare that all players have insurance (RBIHF or otherwise).
NAME T-Shirt Size Amount 75€/pp1. Goalie:2. Player:3. Player:4. Player:5. Player:6. Player:7. Player:8. Player:
Total:
Due to popular request, you now also have the possibility to order catering for accompanying persons (BBQ, lunches & snacks).
NAME Adult 40€/pp – Child 30€/pp
1. Non-player:2. Non-player:3. Non-player:4. Non-player:5. Non-player:6. Non-player:7. Non-player:
Total:
Complete & return to: [email protected] Pay the amount due via the following bank account: Antwerp Phantoms - Ruggeveldlaan 488 - 2100 Deurne - TVA: 0430.619.721
BNPPARISBASFORTIS – IBAN BE29 0014 9785 1364 - BIC: GEBABEBBDon't forget to mention ‘Pond Hockey - Team Name’ and ‘N° of participants’
www.facebook.com/IndoorPondHockeyClassic www.phantoms.be - www.hockey-community.com
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OPTINAL HOODIE* ORDER FORM
NAME Hoodie Size
Amount €
1. Goalie: 45
2. Player:
3. Player:
4. Player:
5. Player:
6. Player:
7. Player:
Total:
Complete & return to: [email protected] Pay the amount due via the following bank account:
BNPPARISBASFORTIS – IBAN BE29 0014 9785 1364 - BIC: GEBABEBB Don't forget to mention ‘Hoodies’ & ‘your Team Name’ and ‘N° of
participants’
*For this year’s edition we opted for the vintage colors of the defunct Vancouver Millionaires for the official T-shirt and Hoodie of the Indoor Pond Hockey Classic
www.facebook.com/IndoorPondHockeyClassic www.phantoms.be - www.hockey-community.com